scholarly journals Mesenteric panniculitis: diagnostic precision

2018 ◽  
pp. bcr-2017-223977
Author(s):  
Domingos Sousa ◽  
Ana Verónica Varela ◽  
Margarida Viana Coelho ◽  
Catarina Jorge
Keyword(s):  
Clinical Symptoms ◽  
Blood Cultures ◽  
Histopathological Analysis ◽  
Mesenteric Panniculitis ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Blood Tests ◽  
Mesenteric Fat ◽  
Loss Of Appetite ◽  
Protein Serum

A previously healthy 74-year-old woman was admitted with vespertine fever, tremors, shivers and loss of appetite within the previous month. Blood tests revealed an elevated C reactive protein serum level. Serologies for infection were negative. Blood cultures grew no organisms. Colonoscopy revealed normal findings. CT showed typical findings of mesenteric panniculitis with infiltration of mesenteric fat that was circumscribed by hyperattenuating capsule and contained enlarged homogenous lymph nodes. The histopathological analysis from mesenterium revealed non-specific signs of chronic inflammation. On institution of prednisolone, the clinical symptoms subsided, and we replaced it with azathioprine after 1 month. After 12 months of therapy, the patient remained asymptomatic, normalised the serological inflammatory markers and repeat CT revealed normal mesenteric fat.

C-REACTIVE PROTEIN SERUM CONCENTRATIONS IN WELL-TRAINED ATHLETES

1982 ◽  
Vol 14 (2) ◽  
pp. 172
Author(s):  
B. Dufaux ◽  
U. Order ◽  
H. Geyer ◽  
W. Hollmann
Keyword(s):  
Serum Concentrations ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Protein Serum

Sepsis + C-Reactive Protein

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 693-694 ◽  
Author(s):  
Alistair G. S. Philip
Keyword(s):  
Neonatal Infection ◽  
Careful Analysis ◽  
Blood Cultures ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Leukocyte Counts ◽  
Group B

Pourcyrous et al are to be congratulated for their careful analysis of C-reactive protein (CRP) in the setting of suspected neonatal infection.1 They were able to evaluate a large number of babies with positive blood cultures. Their approach, using an initial CRP and repeat levels at 12 and 24 hours later, is one that I have been advocating for some time,2,3 when used in conjunction with leukocyte counts. See table in the PDF file As the authors note, I observed that infants with group B streptococcal (GBS) infection evaluated within 12 hours of delivery may initially have normal CRY levels,4 that rise within 24 hours.

scholarly journals Chondrosternal Arthritis in Infant: An Unusual Entity

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Athina Nikolarakou ◽  
Dana Dumitriu ◽  
Pierre-Louis Docquier
Keyword(s):  
Clinical Symptoms ◽  
Therapeutic Option ◽  
White Blood Cells ◽  
Laboratory Data ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
History Of ◽  
Local Tenderness ◽  
Wait And See

Primary arthritis of chondrosternal joint is very rare and occurs in infants less than 18 months of age. Presentation is most often subacute but may be acute. Child presents with a parasternal mass with history of fever and/or local signs of infection. Clinical symptoms vary from a painless noninflammatory to a painful mass with local tenderness and swelling, while fever may be absent. Laboratory data show low or marginally raised levels of white blood cells and C-reactive protein, reflecting, respectively, the subacute or acute character of the infection. It is a self-limiting affection due to the adequate immune response of the patient. Evolution is generally good without antibiotherapy with a progressive spontaneous healing. A wait-and-see approach with close follow-up in the first weeks is the best therapeutic option.

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